Facility Operations

Hurricane Dorian Resources

Emergency Status System Reporting

Sept. 6, 2019: Bed availability reporting has ended.

Emergency Status System (ESS)

The ESS is used to update information regarding census, available beds, utilities, evacuation, generators, damages (related to the storm) and all other reportable event-related information. Facilities in the impact area are encouraged to identify a point of contact for ESS reporting who would not be affected by power/internet outages.

  • Nursing Home ESS login assistance: 850-412-4303
  • Assisted Living Facility ESS login assistance: 850-412-4304
  • After-hours ESS login assistance: 850-264-7924

Communications

Daily Email Alerts

Daily Disaster Call Recordings

State of Emergency

Dialysis

Regulatory Updates

Department of Health Emergency Order (Prescribing/Dispensing Medications)

  • The State Surgeon General has issued an Emergency Order (19-001) for Hurricane Dorian which alters or suspends some of the Florida Statutes that apply to healthcare, especially for prescribing and dispensing medications.
  • Read the Florida Board of Pharmacy press release for more information.

Department of Health Healthcare Personnel Curfew Travel Letter

Department of Health Emergency Order (Re:  Nurse Reciprocity)

  • DOH No. 10-003: For the purposes of preparing for, responding to, and mitigating any effect of Hurricane Dorian as a result of staffing shortages, Licensed Practical Nurses (LPN), Registered Nurses (RN), Advanced Practice Registered Nurses (APRN), or Certified Nursing Assistants (CNA) holding a valid and unrestricted and unencumbered license or certification in any state and/or district may render such services in any health care facility in Florida as defined in section 400, Florida Statutes, during a period not to exceed fifteen days (unless extended), if such an individual does not represent or hold themselves out as licensed or certified to practice in Florida, notwithstanding any background screening requirements pursuant to section 408.809, Florida Statutes to the contrary. This provision only applies to the following counties affected by Hurricane Dorian: Palm Beach, Martin, St. Lucie, Indian River, Brevard, Osceola, Volusia, Seminole, Orange, Volusia, Flagler, St. Johns, Duval, and Nassau.

Medicaid/Medicare

In a September 6 Provider Alert, AHCA noted that the following flexibilities/waivers offered to providers in the alert issued on 8/30/2019 will expire at 11:59 p.m. on Sunday, September 8, 2019:

  • Waiver of prior authorization requirements for critical Medicaid services  
  • Waiver of service limitations to ensure a recipient requiring critical Medicaid services during the storm receives such care 
  • Temporary postponement of the Preadmission Screening and Resident Review processes
  • Waiver of the Medical Certification for Medicaid Long-term Care Services and Patient Transfer Form (Form 5000-3008) prior to admission to a nursing facility
  • Wellcare Hurricane Dorian Claims Payment Exception Process: WellCare of Florida (Medicare Advantage Plans, Staywell Medicaid Plan, Staywell Kids Plan, and the Children’s Medical Services (CMS) Health Plan) will provide coverage to its members before, during and after Hurricane Dorian as outlined in the Governor’s Emergency Order. This includes all medically necessary and critical life sustaining services, such as: durable medical equipment and supplies, home health services, hospital services, nursing facility services, chemotherapy, dialysis services, etc. They have also lifted “refill too soon” edits on prescriptions to provide early refills on medications.

Federal Updates

Nurse Reciprocity

  • Florida is part of the Nurse Licensure Compact. The Compact allows a nurse to have one multistate license in the primary state of residence and practice in other Compact states, while subject to each state's practice laws and discipline. Employers can confirm a nurse's license and receive a Licensure QuickConfirm report at http://www.nursys.com.

Overcapacity

Facility Re-Entry

Nursing centers and ALFs that have evacuated and want to re-occupy must ensure the facility is undamaged and all critical systems (e.g. electrical, medical gas, ventilation) are functional and staffing is sufficient. Report your plans to re-occupy into the Emergency Status System (ESS).

If power is not fully restored, even if generators are operational, facilities must receive approval from their local Emergency Management Offices (EMO) prior to re-entry. This ensures local EMOs are aware of your return should resources need to be diverted to support your center. Please also report to your local Emergency Management Office all structural damage, no matter how small or large, for determining cost estimates for emergency management and funds distribution.

If the nursing center is damaged, contact the AHCA Office of Plans and Construction (AHCA OFP) to discuss damage and impact prior to re-occupancy. Click here for the AHCA OFP web page or call 850-412-4477. ALFs with damage should contact their local Emergency Management Offices (EMO).

Power Updates

Resource Links

Transportation

Consumer Resources